Medical Coding and CDI Trainer

Job Description

Job Description

Job Title:

Medical Coder Trainer

Reports To:

TBD

Provides Direct Support To:

633 Medical Group, Langley AFB, Hampton, VA

Duty Hours:

Shifts will normally be scheduled Monday-Friday between the hours of 0730 and 1630. A typical work shift is 0730-1630 and includes an uncompensated 60-minute lunch break. In no instance will the contract worker be required to provide services in excess of 40 hours per week.

Education:

• Post-high school education through a university or technical school program resulting in completion of ONE of the following:

1. An Associate’s degree or higher in Health Information Management, Healthcare Administration, or a biological science

OR

2. A university certificate in medical coding;

OR

3. At least 30 semester hours’ university/college credit that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, and/or pharmacology

OR

4. Successful completion of an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) coding certification preparation course for professional services or facility coding that includes medical terminology, anatomy and physiology, health information management concepts, and pharmacology

OR

5. Successful completion of a training course beyond apprentice level for medical technicians, hospital corpsmen, medical service specialists, or hospital training, obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision.

Certifications:

• Current Basic Life Support (BLS) certification.
• ONE of the following recognized professional coding certifications: Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist – Physician (CCSP); AND ONE of the following recognized institutional coding certifications: Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS); AND ONE of the following recognized CDI certifications: AAPC: AAPC Approved Instructor; Certified Documentation Expert Outpatient (CDEO); Certified Documentation Expert Inpatient (CDEI), Association of Clinical Documentation Integrity Specialists (ACDIS): Certified Clinical Documentation Specialist (CCDS); Clinical Documentation Specialist - Outpatient (CCDS-O) or AHIMA: Certified Documentation Improvement Practitioner (CDIP).

Job Duties and Responsibilities

The duties include but are not limited to the following

• Analyze baseline and ongoing ICD, E&M, CPT, and modifier coding performance across assigned DHA markets, military treatment facilities (MTFs), medical specialties, product lines, coding and clinical staff, and individual providers. Use audit results, coder feedback, DHA-MCPB input, provider concerns, leadership concerns, Uniform Business Office concerns, and data-quality concerns to identify root causes, research coding issues, and develop measurable solutions.
• Identify coding knowledge and training gaps through performance analysis.
• Design accurate training programs with clear objectives, evaluation criteria, and curricula in accordance with DHA-MCPB direction, guidance, instructions, policies, and procedures.
• Deliver consistent, accurate training within prescribed protocols.
• Improve coding specificity by educating physicians, clinicians, and other stakeholders on complete and clear documentation using clinical documentation integrity methods, metrics, and techniques.
• Document training plans, delivery, assessments, evaluations, and return-on-investment results for DHA-MCPB knowledge management. Provide timely activity and progress reports and alert senior staff to areas requiring attention.
• Maintain current knowledge of code-set changes, coding guidance, federal laws, HHS-OIG requirements, Department of Defense and Defense Health Agency regulations, and relevant commercial policies. Evaluate changes using authoritative references, publications, seminars, and other approved sources.
• Review encounter and medical-record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies that could affect coding accuracy, legal risk, or patient care.
• Identify documentation issues, including legibility and unclear abbreviations, and bring them to the provider’s attention.
• Educate providers and clinical staff and give actionable feedback to resolve documentation issues and support coding compliance.
• Serve as a coding resource for medical staff by responding to questions and providing appropriate coding and documentation references and examples. Collaborate with medical coders, auditors, and compliance specialists to educate providers and staff.
• Support DHA coding compliance by ethically researching and interpreting existing guidance and seeking clarification through appropriate channels when needed.
• Meet and maintain DHA coding productivity and accuracy standards for the position.

\nCompany Description

Professional Performance Development Group specializes in sourcing Top Medical Providers for medical services at U.S. Government facilities, and has been in business for over 36 years. We are the “Preferred Partner” for government services, Professional Performance has successfully performed at over 189 locations across the United States and abroad. This successful performance has resulted in continued prosperity to our team partners and team members and a higher quality of care to our nation’s heroes and families.

Company Description

Professional Performance Development Group specializes in sourcing Top Medical Providers for medical services at U.S. Government facilities, and has been in business for over 36 years. We are the “Preferred Partner” for government services, Professional Performance has successfully performed at over 189 locations across the United States and abroad. This successful performance has resulted in continued prosperity to our team partners and team members and a higher quality of care to our nation’s heroes and families.